Pharm Test Flashcards
What do steroids/ corticosteroids end in
Sone
What does methylpredisone, prednisone, and dexamethasone do (action)
Suppress inflammation, alter immune response and prevent organ rejection
What is the education for methylprednisone, prednisone, and dexamethasone
Don’t double dose
Don’t stop suddenly - taper
Tell doc of severe abd cramping or tarry stool
Avoid live virus vaccines
What are the contraindications for meds methylprednisone, prednisone, and dexamethasone
Untreated infections
Live virus vaccines
Chronic treatment
What are some interventions you would want to do for methylprednisone, prednisone, and dexamethasone
Monitor adrenal suppression
Monitor I/O weight edema
Monitor electrolytes, glucose, cholesterol
Assess for changes in LOC and headaches
What are some side effects you can expect for methylprednisone, prednisone, and dexamethasone
Depression/euphoria hypertension acne ADRENAL SUPPRESSION decreased wound healing anorexia muscle wasting
What do the meds Lisinopril (prinivil), Captopril (capoten), and Valsartan (diovan) do
Lowers BP
what are some side effects you would expect for Lisinopril (prinivil), Captopril (capoten), and Valsartan (diovan)
dizziness hypotension angioedema insomnia taste disturbances increased HR
what are some interventions for Lisinopril (prinivil), Captopril (capoten), and Valsartan (diovan)
monitor BP (lying standing sitting)
assess for angiodemea
monitor renal function (urine protein, BUN, creatine)
monitor for fluid overload (weight)
what are some contraindications for Lisinopril (prinivil), Captopril (capoten), and Valsartan (diovan)
renal impairment
hypovolemia
history of angioedema
HF
What is the education for Lisinopril (prinivil), Captopril (capoten), and Valsartan (diovan)
tell doc of rash, fever, sore throat
dont stop unless told to by doc
dont double dose
may cause hypoglycemia in beginning
what does Hydrochlorothiazide (HCTZ), Furosemide (Lasix) and Spironolactone (Aldactone) have in common
they are all diuretics
what does Furosemide (lasix) do
stops absorption of sodium to promote increase urine secretion
what is the education for Furosemide (lasix)
dont double dose
change positions slowly
tell doc if you gain more the 3lbs in 1 day
what are the contraindications for Furosemide (lasix)
liver disease
allergy to sulfa
electrolyte depletion
renal impairment
what are the side effects of Furosemide (lasix)
steven-johnson dehydration low sodium or potassium hypovolemia metabolic alkalosis
what are the interventions for Furosemide (lasix)
assess fluid status (weight, I/O)
monitor BP and pulse before and during treatment
What does Spirolactone (aldactone) do
promotes urine secretion and saves potassium while doing it
what is the education for Spirolactone (aldactone)
avoid driving and alcohol
dont use oral diphenhydramine
what are the interventions for Spirolactone (aldactone)
monitor I/O weight
check potassium and sodium levels
monitor BUN and creatine
what are the side effects of Spirolactone (aldactone)
dizziness arrhythmias hyperkalemia erecticle dysfunction hyponatermia
what are the contraindications for Spirolactone (aldactone)
hyperkalemia
acute renal insufficiency
diabetes
anuria
what does Hydrochlorothiazide (HCTZ) do
Excretion of water and sodium via urine can lower BP
what is the education for Hydrochlorothiazide (HCTZ)
dont double dose
take at same time every day
monitor BP
what are the side effects of Hydrochlorothiazide (HCTZ)
steven-johnson dizziness hypotension hypokalemia dehydration and muscle cramps
What are the contraindications for Hydrochlorothiazide (HCTZ)
lactation or pregnancy
renal or hepatic impairment
what are the interventions for Hydrochlorothiazide (HCTZ)
monitor BP monitor I/O weight assess for rash allergy to sulfa monitor electrolytes, BUN and creatine
What does Oxybutynin (Ditropan) do
anticholinergic
clams overactive bladder by relaxing muscle contractions and increases bladder capacity
what is the education for Oxybutynin (Ditropan)
avoid driving and alcohol
good oral hygiene
overheating is possible bc inability to sweat
what are the side effects for Oxybutynin (Ditropan)
dry mouth dizziness constipation inability to sweat urinary retention increase thirst
what are the contraindications for Oxybutynin (Ditropan)
urinary retention
Pregnancy
renal impairment
what are the interventions for Oxybutynin (Ditropan)
monitor I/O
catheter can be used after voiding for residuals
assess for anticholinergic effects (sedation and weakness) in older adults
what does ketolorac (toradol) do
NSAID
short term management of pain
what is the education for ketolorac (toradol)
dont double dose
dont take more then 5 days
avoid driving and alcohol
may cause temporary infertility in women
what are the side effects of ketolorac (toradol)
drowisness MI stroke stevens-johnson GI bleeding renal toxicity urinary frequency
what are the contraindications for ketolorac (toradol)
peptic ulcer GI bleeding alcohol intolerance advanced renal impairment pregnacy
what are the interventions for ketolorac (toradol)
monitor BP assess for fluid retention assess pain levels evaluate liver function may increase BUN, creatine and potassium
What does phenazopyradine (pyridium)
bladder analgesic
Relieves UTI pain
what is the education for phenazopyradine (pyridium)
stop med when symptoms resolve
CAN CAUSE REDDISH ORANGE PEE
tell doc if you get a rash or skin discoloration
what are the side effects of phenazopyradine (pyridium)
headache
hepatotoxicity
reddish orange pee
renal failure
what are the contraindications for phenazopyradine (pyridium)
glomerulonephritis
severe hepatitis
renal failure
what are the interventions for phenazopyradine (pyridium)
check renal function
do not crush
what does gentamicin do
antibiotic - treats infections
what is the education for gentamicin
drink plenty of fluids
Hypersensitivity: tinitus, vertigo, hearing loss difficulty urinating
what are the side effects for gentamicin
headaches
NEPHROTOXIC
diarrhea
bronchospasm, cough
what are the contraindications for gentamicin
Intestinal impaction
renal impairment
COPD, asthma
what are the interventions for gentamicin
monitor BUN and Creatine
monitor neurological status
monitor I/O
assess infection
what does Trimethorpim/ Sulamethoxazole (bactrium DS) do
antimicrobial
treats infection
what is the education for Trimethorpim/ Sulamethoxazole (bactrium DS)
finish all of the med
dont take meds for diarrhea
use sunscreen bc of photosensitivity
what are the side effects of Trimethorpim/ Sulamethoxazole (bactrium DS)
steven-johnson
NV
hepatic and epidermal necrosis
Cdiff-associated
what are the contraindications of Trimethorpim/ Sulamethoxazole (bactrium DS)
folate deficiency
renal impairment
HIV
what are the interventions Trimethorpim/ Sulamethoxazole (bactrium DS)
ensure no allergy to sulfa assess for rash monitor for diarrhea monitor CBC and urinalysis may increase creatine and potassium
what does kayexalate do
lowers potassium
what is the education for kayexalate
avoid laxatives or antacids
may cause systematic alkalosis
what are the side effects for kayexalate
hypokalemia hypocalcemia intestional necrosis constipation fecal impaction
what are the contraindications for kayexalate
life threatening hyperkalemia
abnormal bowel function
chronic constipation
previous bowel resection
what are the interventions for kayexalate
monitor I/O weight
monitor potassium levels
assess abdomen and stools
what does Finasteride (proscar) do
stops testosterone to reduce prostate size
what is the education for Finasteride (proscar)
take even if symptoms improve
may have to take up to 12 months
increases risk of prostate cancer
women avoid semen of men taking this can pose risk to fetus
what are the side effects for Finasteride (proscar)
prostate cancer
angioedema
breast cancer
decreased libido and erection
what are the contraindications for Finasteride (proscar)
women
hepatic impairment
obstructive uropathy
what are the interventions for Finasteride (proscar)
assess prostate (rectal exams) assess for incomplete bladder emptying
what does the med tamulosin (flomax) do
treats urge, overflow and enlarged prostates in males
what is the education for tamulosin (flomax)
dont double dose
avoid driving
change positions slowly
talk to doc before taking any cold remedies
what are the side effects of tamulosin (flomax)
dizziness, headaches, orthostatic hypotension,
what are the contraindications for tamulosin (flomax)
sulfa allergy
cataract surgrey
patients at risk for prostate carcinoma
what are the interventions for tamulosin (flomax)
monitor I/O edema weight assess prostate take 30 min after meal dont crush it dosage is started small and then worked up
what does Bismuth subsalicylate do
helps relieve symptoms of heart burn and reflux
what is the education for Bismuth subsalicylate
dont double dose
drink plenty of fluids
dont take more then 8 doses per day
tell doc of diarrhea lasting more then 2 days
what are the side effects of Bismuth subsalicylate
nv
ringing ears
what are the contraindications for Bismuth subsalicylate
children
renal failure
dialysis
what are the interventions for Bismuth subsalicylate
monitor bowel functions
black stools are temporary
avoid asprin
give on an empty stomach
What does PPIs end in
azole
what does omeprazole, rabeprazole, pantoprazole, and lansoprazole do
decrease acid reflux
what is the education for omeprazole, rabeprazole, pantoprazole, and lansoprazole
tell doc of black tarry stool
take full course of meds
avoid driving
what are the side effects of omeprazole, rabeprazole, pantoprazole, and lansoprazole
associated cdiff
hypersensitivity reactions
what are the contraindications of omeprazole, rabeprazole, pantoprazole, and lansoprazole
lacatation
children
hepatic impairment
what are the interventions of omeprazole, rabeprazole, pantoprazole, and lansoprazole
monitor bowel functions
moniotr CBC
may increase ALT and AST
monitor magensium levels
what does sucralfate do
GI protectant
protects ulcers
what is the education for sucralfate
take for 4-8 weeks even if feeling better
check ups on ulcers
what are the side effects of sucralfate
constipation
dry mouth
drowisness
dizziness
what are the contraindications for sucralfate
renal impairment
diabetes
what are the interventions for sucralfate
assess stools for blood
assess abdominal pain
assess ulcers
what do histamine blockers end in
dine
what does cimetidine, famotidine, and nizatidine do
healing and prevention of ulcers and decrease acid reflux
what is the education for cimetidine, famotidine, and nizatidine
dont double dose
take even if feeling better
dont smoke
report black tarry stools
what are the side effects for cimetidine, famotidine, and nizatidine
confusion
arrhythmias
aplastic anemia
what are the contraindications for cimetidine, famotidine, and nizatidine
products that contain alcohol
renal impairment
Pregnancy and lactation
what are the interventions for cimetidine, famotidine, and nizatidine
assess stool for blood
monitor CBC
assess for confusion
what does the med garviscon do
antacid
lowers amount of acid in the stomach
what is the education for garviscon
dont smoke
tell doc if dark tarry stool
avoid driving
what are the side effects of garviscon
constipation
nv
diarrhea
taste impairment
what are the contraindications of garviscon
H2 blockers
benzyl alcohol
pregnancy
renal or hepatic disease
what are the interventions for garviscon
assess ulcers
limit alcohol intake
dont breast feed
what dose calcium carbonate do
antacid
calcium supplement
what is the education for calcium carbonate
dont take longer then 2 weeks
increase fluids
avoid alcohol, caffeine and tobacco